0001532602-13-000002.txt : 20131021 0001532602-13-000002.hdr.sgml : 20131021 20131021140355 ACCESSION NUMBER: 0001532602-13-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20131021 DATE AS OF CHANGE: 20131021 EFFECTIVENESS DATE: 20131021 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Dental Implant Holdings, LLC CENTRAL INDEX KEY: 0001532602 IRS NUMBER: 203648519 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-204949 FILM NUMBER: 131161098 BUSINESS ADDRESS: STREET 1: 8350 EAST CRESCENT PARKWAY STREET 2: SUITE 100 CITY: GREENWOOD VILLAGE STATE: CO ZIP: 80111 BUSINESS PHONE: 203-629-4901 MAIL ADDRESS: STREET 1: 599 W. PUTMAN AVENUE STREET 2: SUITE 200 CITY: GREENWICH STATE: CT ZIP: 06830 FORMER COMPANY: FORMER CONFORMED NAME: ClearChoice Dental Holdings, LLC DATE OF NAME CHANGE: 20111013 D 1 primary_doc.xml X0707 D LIVE 0001532602 Dental Implant Holdings, LLC 8350 EAST CRESCENT PARKWAY SUITE 100 GREENWOOD VILLAGE CO COLORADO 80111 203-629-4901 DELAWARE ClearChoice Dental Holdings, LLC Limited Liability Company true 2011 Kevin Mosher 8350 EAST CRESCENT PARKWAY SUITE 100 GREENWOOD VILLAGE CO COLORADO 80111 Executive Officer Director Stephen D. Boyd 8350 EAST CRESCENT PARKWAY SUITE 100 GREENWOOD VILLAGE CO COLORADO 80111 Director Julian Mack c/o Catterton Partners 599 W. Putnam Avenuue Greenwich CT CONNECTICUT 06830 Director Mark Grabowski c/o Catterton Partners 599 W. Putnam Avenue Greenwich CT CONNECTICUT 06830 Director Marc Magliacano c/o Catterton Partners 599 W. Putnam Ave. Greenwich CT CONNECTICUT 06830 Director Donald P. Miloni 8350 EAST CRESCENT PARKWAY SUITE 100 GREENWOOD VILLAGE CO COLORADO 80111 Director Nikhil Thukral c/o Catterton Partners 599 W. Putnam Avenue Greenwich CT CONNECTICUT 06830 Director Mark Fuller 8350 East Crescent Parkway Suite 100 Greenwood Village CO COLORADO 80111 Executive Officer Other Health Care Decline to Disclose 06b false 2013-10-04 false true false 0 10000000 10000000 0 false 11 0 0 0 false Dental Implant Holdings, LLC /s/ Mark Fuller Mark Fuller Chief Financial Officer 2013-10-21